Stark, Kenneth Richard

Stark, Kenneth Richard is an individual health care provider with primary practice located at 10555 W Overland Rd , Boise ID 83709-1436. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Stark, Kenneth Richard can be contacted via phone (208) 321-2669.

Contact Information

Primary practice address
10555 W Overland Rd Boise ID 83709-1436
Phone: (208) 321-2669
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X P6643 Idaho
Pharmacy Service Providers / Pharmacist 183500000X CS18944 Idaho
Pharmacy Service Providers / Pharmacist 183500000X 6035703-1701 Utah
Pharmacy Service Providers / Pharmacist 183500000X 6035703-8911 Utah
Pharmacy Service Providers / Pharmacist 183500000X S019112 Arizona

Profile Details

NPI number 1255674164
LBN Legal business name Stark, Kenneth Richard
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2013
Last updated Mar 28th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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